Patient
Scheduled for Surgery with:
IF
Coronary Artery Disease ------->
IF
Peripheral Vascular Disease------->
IF
Two Risk Factors: ------->
-
Age
> 65
-
Hypertension
-
Diabetes
-
Cholesterol
> 240 mg/dl
-
Smoking
|
Beta
Blockers:
*
Atenolol 25 mg po qd to start, if heart rate
greater than 60 and systolic blood pressure
greater than 120 mmHg. Titrate dose to effect.
* Atenolol or Metoprolol IV on day of surgery.
* Atenolol or Metoprolol IV post op until
taking PO then.
* Atenolol 100 mg PO qd for at least a week
post op (hold for heart rate less than 55
or systolic blood pressure less than 100 mmHg)
* If known CAD or PVD continue beta blocker
indefinitely.
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